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HomeMy WebLinkAboutHamill • OFFICE OF THE TOWN CLERK c,51FU(�'`,' Town of Southold � Judith T. Terry, Town Clerk .�• Z � � Town Hall, 53095 Main Road • ; • P. O. Box 1179 •v' - Southold, New York 11971 O ' `:41 .';`� �•` Telephone 1 11 ' , •� (516) 765-1801 ' TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 48 Residential xx Non-Residential Fee $ 10.00 Septic Cesspool= • PERMIT ISSUED TO: NAME: Winds Way Building Corp. ADDRESS: 1020 Glen Road Southold;. New YOrk 11971 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION New Single Family Residence' LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: Robert and Ruth Hamill OWNER MAILING ADDRESS: 153 Church Avenue Islip, New York 11751 OWNER PROPERTY ADDRESS: Sleepy Hollow Lane Southold, New York TAX MAP NO. : Section 78 Block 1 Lot 10.11 CROSS STREET: Pond Lane BUILDING PERMIT NUMBER CROSS REFERENCE: Pending totreeddi;e1g1"vim• Judith T. Terr Southold Town Clerk DATE: October 3, 1986 (TOWN SEAL) ' OFFICE OF THE TOWN CLERK FCEV'F�,, Town of Southold Judith, T. Terry, Town Clerk Application No. y ��P `�� ` Town Hall, 53095 Main Road �' ` �� � Construction (/ P. 0. Box 1179 Town Clerk Southold Alteration Southold, New York 11971 Telephone • Residential (516) 765-1801 Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. f i Fee .$/0 DATE 4i 2. 0‘ /406, ��J�/ diii./0 APPLICANT NAME: / / .itla 671 . APPLICANT ADDRESS: /v CAW Il/y . Sud, //a, ,4/ . SEPTIC CESSPOOL V DESCRIPTION OF PROPOSED CONSTRU TION OR ALTERATION McA/ /ty LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CON RUCT ON OR LTERATION:/ OWNER OF PROPERTY: Arm i!� OWNER MAILING ADDRESS: /13 Case% 4. � ,(/G�, OWNER PROPERTY ADDRESS: rAhen Mikifok, /Ada' .5-041 'I,f LADji TELEPHONE NUMBER OF CONTACT PERSON: 74,>--/ 33J 8084.4sv' nrl/ TAX MAP NO. : Section 6 )g Block • / Lot 16.4 CROSS STREET: 1 #f41 BUILDING PERMIT NUMBER CROSS REFERENCE: Signature of Applicant RECEIVED BY: TownUClerk'sfe • DATE: ae �, Leti(32,�� /9 - I . --i - . I SUFFOLK CO_ HEALTH DEPT. APPROVAL H. S. NO. j `~Itl f CitiL.r (1 P , .'-- 1°' -�I __ F} e,lit ,'f n !e 't? 1:-.e + ' • cwt } ' C.! :-�t t•i_ .. ' .- b• - ";t, ^� ��SI�i , c, _f, 263.2 � V; ;A • > ' •"-� 03 03 '''1 STATEMENT OF INTENT ! ; THE WATER SUPPLY AND SEWAGE DISPOSAL 'VI O C-.),, r - -moi SYSTEMS FOR ' THIS RESIDENCE WILL , ' CONFORM TO THE STANDARDS OF THE ill SUFFOLKC T. OF HEALT SERVICES. . 1 . (,S) t I • • - APPLICANT • C' /c..0 %' 1 r-t , li SUFFOLK COUNTY DEPT. ' OF HEALTH , � o ��^� SERVICES — FOR APPROVAL OF kjj 0 . CONSTRUCTION ONLY , • � r -A ? .n :—t DATE: ?f l` k T 4trit � H. S. REF. NO.: ''' Cil I - A APPROVED: r���` " - y i, 61 S 6 Chi;3 . SUFFOLK CO. TAX MAP DESIGNATION:• C9 �' DIST. . - SECT. BLOCK PCL. :� .-�o .__ai$_____ __ l - -- . .._ 1 0.1 1 C' , __ ; �0 n i1 OWNERS ADDRESS: _s0__-0 u ac -AVE; ---__ t �L ; s�sa7st-_ ., • • -52i=7693- - ! ..r ' DEED: L,..-N ft"_ ----- 'Th , ' :-TEST HOLE •- ' --- STAMP, _ _ \ 1 _ $ltRfvt10'�IO 8.s�"F'DZ7 .-'1 , ; - - ...;,1e.... E�R�^,Uti14Lr7f:L� VID�8t1On O. `, ! ` 11 • ;,:i, to thin&urvay `thn�r-ut Yo'� f (',i - .F Educetcan txw. .v m Rai b7srtst'1` C.. } : rr:. .;Cotsi�a cf,t ruateD ir�y^G av 7 s: 1 1!'- 1 ' r; ix;_;~`"_ •g;Tt,:-.e.9,+f.4:i.,: R,^,�.3. 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